Search icon

Medica Stand-Up MRI of Birmingham, LLC

Details

Name: Medica Stand-Up MRI of Birmingham, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 28 Apr 2004 (21 years ago)
Date of dissolution: 30 Nov 2023
Entity Number: 000-699-973
Register Number: 000699973
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2022 MEDICAL CENTER DR STE 206 ACCBIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

Activities OWN/OPERATE A STAND-UP MRI FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609814151 2006-06-04 2020-10-28 3105 INDEPENDENCE DR, SUITE 101, HOMEWOOD, AL, 352094111, US 3105 INDEPENDENCE DR, SUITE 101, HOMEWOOD, AL, 352094111, US

Contacts

Phone +1 205-871-3335
Fax 2058713305

Authorized person

Name MARY KAY BAKER
Role VP OF OPERATIONS
Phone 6783546766

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
License Number 06000889
State AL
Is Primary Yes

Agent

Name Role
JONES, DEWEY H IV Agent

Member

Name Role
DYNAMIC IMAGING LLC Member
MEDICA HOLDING COMPANY LLC Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State